My Husband's in ICU with a Tracheostomy, PEG & Dialysis. Can He Go Home with INTENSIVE CARE AT HOME?

https://intensivecareathome.com/my-husbands-in-icu-with-a-tracheostomy-peg-percutaneous-endoscopic-gastrostomy-dialysis-can-he-go-home-with-intensive-care-at-home/

My Husband's in ICU with a Tracheostomy, PEG & Dialysis. Can He Go Home with INTENSIVE CARE AT HOME?

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Hi, it’s Patrik Hutzel from intensivecareathome.com where we provide tailor-made solutions for long-term ventilated adults and children with tracheostomies at home and where we also provide tailor-made solutions for hospitals and intensive care units at home whilst providing quality care for long-term ventilated adults and children with tracheostomies at home, otherwise medically complex clients at home, adults and children, which includes BIPAP (Bilevel Positive Airway Pressure), CPAP (Continuous Positive Airway Pressure), home tracheostomy care for adults and children that are not ventilated, Home TPN (Total Parenteral Nutrition), home IV potassium infusions, home IV magnesium infusions, and home IV antibiotics. We also provide port management, central line management, PICC (Peripherally Inserted Central Catheter) line management, as well as Hickman’s line management, and we also provide palliative care at home.

We have also sent, and we are sending our critical care nurses into the home for emergency department bypass services, and we have done so successfully in the past for the Western Sydney Local Area Health District, their in-touch program.

So today, I want to answer a question actually from one of our clients that we’re currently working with, who has their loved one still in ICU but is thinking about getting him home. Here is the situation, the client is saying, “I’m aware of the risks and dangers of bringing my husband home without ICU nurses, and I’ve been thinking about it, and I have not signed anything yet as far as the whole thing is concerned.”

Now, our client’s husband is in ICU with a tracheostomy. He’s just pulled out his nasogastric tube and he needs a PEG (Percutaneous Endoscopic Gastrostomy) to go home because of his inability to be decannulated, having the tracheostomy removed by now. He’s off the ventilator already but he still has the tracheostomy and the PEG tube.

She thinks that the danger has passed to take him home with intensive care nurses. So, that’s an option that she’s considering. Obviously, that’s something we do here at Intensive Care at Home with 24-hour critical care nurses because that is what is needed for someone with a tracheostomy and a PEG tube at home. It’s evidence-based as per the Mechanical Home Ventilation Guidelines, which are evidence-based. You can look them up on our website and I have put a link towards it that someone with a tracheostomy needs critical care nurses, 24 hours a day, with a minimum of two years critical care nursing experience. So, they are actually tracheostomy competent.

Now, she’s also worried that once her husband is at home that he needs to start eating and drinking again, even though he will have a PEG tube and what that would look like. Now, again, if someone has a tracheostomy, the best way to start eating and drinking again is to do some swallowing assessments and some speech exercises with the speech pathologist. The cuff needs to be put down on the tracheostomy to see whether the patient can swallow or not.

Continue reading at: https://intensivecareathome.com/my-husbands-in-icu-with-a-tracheostomy-peg-percutaneous-endoscopic-gastrostomy-dialysis-can-he-go-home-with-intensive-care-at-home/